Zionsville Aquatic Center Self Screening Updated 8/28/20.
Please fill out 30 minutes before you visit each day
What activity will you participate in today? *
What is your first name? *
What is your Last name? *
Names of all family members swimming today:
Have you, OR ANY PERSON IN YOUR HOME, had any of the following symptoms in the past 24 hours such as chills, fever of 100.4 or greater, sore throat, cough or shortness of breath (especially new onset or uncontrolled cough), diarrhea, nausea, vomiting, abdominal pain, new loss of taste or smell, or new onset of severe headache (especially with fever)? *
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